Healthcare Provider Details

I. General information

NPI: 1699475657
Provider Name (Legal Business Name): ERIN CLOOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN BERTONE MD

II. Dates (important events)

Enumeration Date: 03/08/2023
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

984455 NEBRASKA MEDICAL CTR
OMAHA NE
68198-4455
US

IV. Provider business mailing address

984455 NEBRASKA MEDICAL CTR
OMAHA NE
68198-4455
US

V. Phone/Fax

Practice location:
  • Phone: 402-559-4081
  • Fax: 402-559-7372
Mailing address:
  • Phone: 402-559-4081
  • Fax: 402-559-7372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number37330
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number37330
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: